Organization
KINETIC INNER QI ACUPUNCTURE AND SPORTS MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM GILSON L.AC. MSTOM (LICENSED ACUPUNCTURIST)
(619) 634-9550
Entity
Organization
Contact information
Practice address
543 ORANGE AVE, CORONADO, CA 92118-1826
(619) 634-9550
(619) 437-4909
Mailing address
543 ORANGE AVE, CORONADO, CA 92118-1826
(619) 634-9550
(619) 437-4909
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
AC13094
CA
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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